USING OF BIOWELDING TECHNOLOGY IN THYROID SURGERY

The increase in the number of detections of various diseases of the thyroid gland is found all over the world. Often there is a need to carry out surgical interventions of different scope. The main requirements are safety, minimal trauma and quick recovery of the patient after surgery. The lack of a single standardized method of performing hemostasis encourages the search and introduction of new and safe methods into clinical practice. The purpose of the work was to conduct a comparative analysis of the effectiveness of the use of biowelding technology (using the Swarmed EK-300M device) and the traditional method of hemostasis during thyroid surgery. Materials and methods: 435 case histories of patients operated on for various thyroid pathology in the surgical department of the SIS “RPC PCM” SAD were studied in retrospect. The study included 420 patients. Among them: hemitireoidectomy - 106 cases, thyroidectomy - 186 cases, thyroidectomy supplemented with neck dissection - 128 cases. The distribution was carried out according to the volume and method of performing the surgical intervention. In total, according to the traditional method, 268 surgical interventions were performed and using the “Svarmed EK-300M” – 152. Results: During the study, it was found that when using the “Svarmed EK-300M”, the duration of surgical interventions was reduced by 35-39% and the stay in the hospital was reduced from 2.42 to 1.42 days. Cases of bleeding in the early postoperative period occurred in 4 patients of the first group. In the second group there were no cases of bleeding. The transient paresis of the larynx in the first group occurred in 1.4% of cases, in the second - 0.9%. For further observations in both groups of paralysis of the recurrent laryngeal nerve was not detected. Conclusion: the use of high-frequency bioelectrical welding technology when performing thyroid surgical interventions allows to significantly reduce the duration and trauma of surgical interventions, reduce the risk of intra- and postoperative complications, improve postoperative rehabilitation, reduce the period of inpatient treatment of patients, and shorten the period of recovery